caa a22 4500 605476438 CHVBK 20210128100356.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s00787-014-0530-2 doi (NATIONALLICENCE)springer-10.1007/s00787-014-0530-2 Behavioral sleep problems and internalizing and externalizing comorbidities in children with attention-deficit/hyperactivity disorder [Elektronische Daten] [Kate Lycett, Emma Sciberras, Fiona Mensah, Harriet Hiscock] Behavioral sleep problems are common in children with attention-deficit/hyperactivity disorder (ADHD), as are internalizing and externalizing comorbidities. The prevalence of these difficulties and the extent to which they co-exist in children with ADHD could inform clinical practice, but remains unclear. Therefore, we examined the association between sleep problems and internalizing and externalizing comorbidities in children with ADHD. Children aged 5-13years were recruited from 21 pediatric practices across Victoria, Australia (N=392). Internalizing and externalizing comorbidities (none, internalizing, externalizing, co-occurring) were assessed by the telephone-administered Anxiety Disorders Interview Schedule for Children IV/Parent version. Sleep problem severity was assessed by primary caregiver report (no, mild, moderate or severe problem). Moderate/severe sleep problems were confirmed using International Classification of Sleep Disorders. Seven specific sleep problem domains (bedtime resistance, sleep anxiety, sleep onset delay, sleep duration, night waking, parasomnias and daytime sleepiness) were assessed using the Children's Sleep Habits Questionnaire. Data were analyzed using adjusted logistic and linear regression models. Compared to children without comorbidities, children with co-occurring internalizing and externalizing comorbidities were more likely to have moderate/severe sleep problems (adjusted OR 2.4, 95% CI 1.2; 4.5, p=0.009) and problematic sleep across six of seven sleep domains. Children with either comorbidity alone were not at risk of moderate/severe sleep problems, but at the sleep domain level, children with internalizing alone had more sleep anxiety, and those with externalizing alone had less night waking. In conclusion, children with ADHD experiencing co-occurring internalizing and externalizing comorbidities are at an increased risk of sleep problems. Springer-Verlag Berlin Heidelberg, 2014 Attention-deficit disorder with hyperactivity nationallicence Sleep nationallicence Child nationallicence Comorbidity nationallicence Mental health nationallicence Lycett Kate Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia aut Sciberras Emma Community Child Health, Murdoch Childrens Research Institute, Parkville, VIC, Australia aut Mensah Fiona Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia aut Hiscock Harriet Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia aut European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/1(2015-01-01), 31-40 1018-8827 24:1<31 2015 24 787 https://doi.org/10.1007/s00787-014-0530-2 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00787-014-0530-2 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Lycett Kate Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia aut NATIONALLICENCE 700 1- Sciberras Emma Community Child Health, Murdoch Childrens Research Institute, Parkville, VIC, Australia aut NATIONALLICENCE 700 1- Mensah Fiona Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia aut NATIONALLICENCE 700 1- Hiscock Harriet Department of Paediatrics, The University of Melbourne, Parkville, VIC, Australia aut NATIONALLICENCE 773 0- European Child & Adolescent Psychiatry Springer Berlin Heidelberg 24/1(2015-01-01), 31-40 1018-8827 24:1<31 2015 24 787